AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1033211909 |
License Number: | 35025862 |
License State: | OH |
Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
Residency Training: | Comm Hosp Of Springfield, Flexible Or Transitional Year |
Graduation Year: | 1962 |